Mr Medehgui OET Listening 🎧 Part A Episode 001

PLAY THE AUDIO ABOVE

Extract 1 : Question 13 to 24

You hear a physician talking to a patient called Mr. Medehgui. For questions 13 to 24, complete the following notes with a word or short phrase. You now have thirty seconds to look at the notes.

Patient: Medehgui

Age: 80

Symptoms & disease: possible idiopathic (13).........................

Patient's description of symptoms: 

• twelve months ago she had severe cognitive impairment, 
• (14). ............................ and incontinence 
• had CSF drainage via a (15)..................................

Medical history: 

• has cervical stenosis had a (16).......................... and instrumented fusion six monts back
• patient is unable to walk using a walke and a supporting assistant to walk. 
• memory is worsened

Medications: 

• Aricept 10 mg in the evening, 
• carbidopa 25 mg or levodopa 100 mg three times a day, 
• (17)......................... Colace 100 mg twice a day, 
• finasteride 5 mg once a day, 
• (18). .....................................once a day, 
• multivitamin with iron once a day, 
• omeprazole 20 mg once a day, 
• senna 8.6 mg twice a day,
• (19) ........................, and promethazine 25 mg as needed.
• The (20). .......................................shows thre is no upgaze
• The down gaze and (21)..........................   are intact.
• gait is severely impaired
• ventricles appear larger
• The (22).   .........................   was previously about 5.5 cm and now it is 6 cm. 
• The 3rd ventricular span is 15 mm. 

Impression: 

• idiopathic normal pressure hydrocephalus
• possibility of (23).........................
• incontinience and urinary urgency

Further treatment: 

• (24)..........................

For answer key

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